Upcoming Webinars

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Speaker information for CME - Here

 

Thank you for agreeing to participate in the CANOSC webinar series. 

Rehearsal
We would like to set up a rehearsal of the webinar at a time that is convenient to you. Forward dates and times that work; preferably at least a day prior to the event.

All speakers are required to complete a declaration of conflict of interest, provide objectives and a brief description of the talk.  Complete this form asap to ensure we can adequately promote the event and that it meets accreditation standards.

https://ca.surveygizmo.com/s3/50074449/CANOSC-Speaker-COI-and-MOC-Info-Webinars

Template
You are welcome to use this ppt template to assist with the branding.

Format
The webinar will be delivered using Zoom video technology.  You will be registered as a panelist by CANOSC and should receive an email confirmation from Zoom.  Zoom allows panelists to use polling, single choice or multiple choice, questions during a presentation. We are able to launch the poll in real time and show results from the participants. We have the ability to download a report of polling after the meeting.

On the day of the Zoom meeting, please sign in about 15 minutes early to ensure all the technology pieces are working correctly.

Video
The preference is to participate in full video mode – so that participants will be able to see you throughout the event.  When you join the webinar, please update your screen to your name so participants will be able to identify you.  We will be recording the presentation for our website educational repository.

Audio
Through Zoom webinar you will also be connected by audio.  You can test your sound quality using Zoom. 

Participants
As attendees, the audience will not have video or audio functions.  Any questions can be submitted using the ‘chat’ or Q&A function within Zoom.

Accreditation
This event is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and approved by the Canadian Association of Physical Medicine & Rehabilitation. You may claim a maximum of 1.0 hour (credits are automatically calculated).

With events unfolding daily around the world, here in Canada, in our institutions, within our communities and at our homes I hope each of you and your families continue to be healthy and safe.  Thanks again for agreeing to be a part of this webinar, for supporting CANOSC and sharing your expertise with the PMR global community.

Tips

  • Mute anything else in your office that beeps or buzzes so you don't distract yourself or others in the audience
  • The best way to avoid feedback is to wear a headset and change your computer's audio settings to be input and output through the headset and its mic
  • Adjust the laptop or your webcam so that your head and shoulders take up the majority of the frame. If you need to, put the computer on  a phone book or close the cover of your laptop just enough to fill the frame. Ideally, the top of your head will touch the top of the frame and the camera will be capturing you straight-on or looking slightly down on you (most flattering like in selfies). If the camera is underneath you, you'll magically grow double and triple chins.
  • No matter what is happening on screen, when you are "listening" look directly into the camera. Otherwise, it will look like you're not paying attention
  • If you are uncomfortable multitasking and moderating the chat as well as pinning resources while you're on-camera, get a virtual moderator to perform those audience engagement tasks and feed you audience questions
  • If you are comfortable doing more than one thing at a time, feel free to play, engage, chat and share with the audience
  • Don't forget: They're at a computer. You can give them things to Google like an educational scavenger hunt as an activity. They can also have discussions and do group work via chat, just like an in-room audience, so build those kind of activities into your session.
  • If a question stumps you, ask the audience to search the web for the answer and tell you what they find.
  • Don't be afraid of silence. There will be a 3-10-second lag so you might want to type in your question before you ask it out loud to give the virtual audience time to think and respond. Or ask the question, fill in time with something else and come back to see what they think.

 

A few basics if you are interested in signing up for Twitter:

How to sign up for twitter:

  • Go to https://twitter.com/signup
  • Sign up using an email or phone number
  • Download twitter on your phone/tablet through the app store (available on all platforms)

Your first tweet:

  • After you have logged into Twitter click on the blue button on the top right that says Tweet
  • Compose your first Tweet, it doesn’t have to be anything ground breaking, my first tweet was “Rare diagnoses are rarely right. But, when you are it is awesome!
  • At the end tag @CAPM_R or @3canoes (Heather Dow, Executive Director) and we will re-tweet it and welcome you to twitter. This will send your tweet to the CAPMR network and immediately expand your network.

An in depth Physicians Guide to Social Media:

Click here to access an excellent guide developed by Dr. Jerad Gardner (Soft tissue and Dermatopathologist). Dr. Gardner is the Chair, Social Media Subcommittee for USCAP. In his wiki he goes through all the basics of twitter and other social media platforms. There are sections on the ethics of posting on social media.  Below is an excerpt from this discussion as privacy concerns are one of the main reasons that limit the uptake of social media by physicians.

Is it ok to post de-identified histologic or clinical pictures on Facebook or Twitter?
This gets asked about a lot. The short answer is: YES. Below is the long answer. I'm not a lawyer, but here are my personal views:
Posting de-identified images does not in any way violate HIPAA. People who have argued with me about this usually either don't understand HIPAA, don't understand pathology, or more likely, both. I'm not a lawyer, but HIPAA makes it pretty clear what patient identifiers are: http://cphs.berkeley.edu/hipaa/hipaa18.html. Please note #17 on the list: "Full face photographic images and any comparable images". Histology images clearly do not qualify as that. For further evidence, look at medical journals. Histologic pictures, even of exceedingly rare cases or cases where n=1 are published in print and posted online. Most lay public don't read these journals, but medical journals are PUBLIC not private and can be accessed by anyone willing to pay or use a library. From an ethics/privacy/HIPAA perspective, posting histology pics on Facebook is no different from publishing them in a journal in my opinion.”

There has also been an effort to standardize the hastags(#) used in physiatry in an official Physiatry Tag Ontology

  • #SportsMed - musculoskeletal, Physiatry, Physical Medicine and Rehabilitation, physiotherapy, rehab, rehabilitation, sports, Sports Medicine
  • #neurodegenerative - ALS, Alzheimer's Disease, Multiple Sclerosis, Neurological Disorders, Physiatry
  • #Physiatry - Physiatry, Physical Medicine and Rehabilitation, rehabilitation
  • #doctorofphysicaltherapy
  • #residentphysician
  • #physiciansassistant
  • #headaches

COVID-19 Rehab Resources - Updated: April 8, 2020

Rehabilitation will play an important role in supporting better outcomes for patients with COVID-19. The following resources are provided to support rehab professionals, other clinicians and administrators as they provide and plan for care in this challenging and unprecedented time.

For Physical Medicine & Rehabilitation

Below is an update including resources from the Public Health Agency of Canada: Information on Coronavirus disease (COVID-19)

There are a number of updated resources available on the CMA website including their NEW Outbreak Update: Coronavirus disease (COVID-19) and the COVID-19 Virtual Assistant.

Guidance to be published
IPC for COVID-19 – Interim Guidance for Long-Term Care Settings
IPC for COVID-19 – Interim Guidance for Home Healthcare Settings

Coronavirus disease (COVID-19): Optimizing the use of masks and respirators during the COVID-19 outbreak; This includes

Coronavirus disease (COVID-19): Guidance documents

Coronavirus disease (COVID-19): Considerations in the use of homemade masks to protect against COVID-19 https://www.canada.ca/en/health-canada/services/drugs-health-products/medical-devices/activities/announcements/covid19-notice-home-made-masks.html

Coronavirus disease (COVID-19): List of diagnostic devices for use against coronavirus (COVID-19)
https://www.canada.ca/en/health-canada/services/drugs-health-products/medical-devices/covid-19.html

Coronavirus disease (COVID-19): Canada’s Response
https://www.canada.ca/en/public-health/services/diseases/2019-novel-coronavirus-infection/canadas-reponse.html

Coronavirus disease (COVID-19): For health professionals
https://www.canada.ca/en/public-health/services/diseases/2019-novel-coronavirus-infection/health-professionals.html

For health professionals

For businesses

For communities Community-based measures to mitigate the spread of coronavirus disease (COVID-19) in Canada

For schools and daycares

Coronavirus disease (COVID-19): Awareness resources – resources are available in PDF Format in multiple languages

The latest information and the status of measures in Canada are posted on Canada.ca/coronavirus or available to the public through the Coronavirus Information Line (1-833-784-4397). The website is available in English, French and simplified Chinese


Below are details on the various government programs for Businesses and Individuals during COVID-19 as of April 7, 2020. There are two sections: Government assistance and Insurance.

GOVERNMENT ASSISTANCE

Canada Emergency Wage Subsidy (CEWS)
The objective of this plan is to help employers keep employees working.

      • 75% of salary on the first $58,700 per employee, to a maximum of $847 per week per employee. There is no limit per employer.
      • Eligible employers include individuals, corporations and partnerships.
      • Any business with at least a 30% decrease in revenue compared to current month of the previous year.
      • CEWS would be claimed against wages in three periods March 15-April 11, April 12-May 9 and May 10-June 6. > I.E If there is a 30% revenue decrease for each of these periods you would be eligible to apply. Employers have to apply 3 times, once for each period.
      • Employers are to pay employee wages first then apply for the CEWS through the CRAs business account portal. Payment will be received through direct deposit. Employers must keep detailed records.
      • Employers must do “everything they can” to pay the other 25% of employee wages.
      • The CEWS subsidy will be taxable to the employer as government assistance.
      • Non-arms length's employees are limited to pre-crisis earnings.
      • You will need to attest to the decrease in revenue and keep detailed records. If it is determined that you are ineligible, you will need to repay the loan and anti-abuse rules will apply.
      • If your corporation does not qualify for the CEWS program, you can apply through the 10% Temporary wage subsidy program (TWS) listed below
      • ACTION: Apply through CRAs my business account portal.
      • For complete information on the Canada Emergency Wage subsidy click here

INSURANCE
Below is a review on coverage for COVID-19 (claims on your disability, office overhead, critical illness and life insurance), premium deferral options and how to update your insurance.

Claims:

      • Disability insurance
        If you are quarantined and diagnosed with COVID-19, you are considered disabled and your policy will cover you. Self isolation without a diagnosis of COVID-19 is not considered a disability.
      • Office overhead insurance
        Office overhead insurance is designed to cover your business expenses in the event that you are disabled or injured; closing your clinic as a safety precaution is not covered under office overhead insurance.
      • Critical illness insurance
        Critical illness insurance has defined definitions at the time a policy was purchased. COVID-19 is not a defined critical illness.
      • Life insurance
        If you pass away due to COVID-19, your policy will pay to your beneficiaries.

Can you defer your insurance premium?
YES
. Most tier one individual insurers (including RBC Insurance) are offering up to 3 months interest free premium deferral if you are unable to make premium payments on your insurance due to COVID-19.

Do you need more insurance?
Physicians have been reflecting on their insurance needs and some have asked how they can increase their insurance. Due to COVID-19, you can apply with reduced medical requirements as listed below:

Life insurance - apply for new insurance with no medical (no blood, urine or vitals)

      • Up to age 50 can apply for $1,000,000
      • Age 51-60 can apply for up to $300,000
      • Age 61-70 can apply for up to $99,000
      • Rapid underwriting

Critical illness insurance no medical (blood, urine, vitals).

      • Up to age 40 can get $250,000 – no fluids required
      • Age 41-50 can get $100,000.
      • Age 51-55 can get $50,000
      • Discount – up to 10% discount for physicians through our office

Disability insurance no medical (blood, urine, vitals).

      • Up to age 50 can apply for up to $6,000/month.
      • Age 51+ can apply for up to $2,500/month
      • Discount – up to 25% discount for physicians through our office

10% Temporary Wage Subsidy (TWS)
The objective of this plan is to help employers keep employees working irrespective of revenue decrease.

      • 10% of remuneration paid from March 18, 2020 to June 19, 2020
      • Capped at $1,375 per employee to a max of $25,000 per employer
      • Benefit capped by reducing payroll remittance
      • Not a subsidy but a reduction in tax remittance.
      • ACTION: Reduce your income tax remittance

Canada Emergency Business Account (CEBA) - Loan for up to $40,000
The objective of this plan is to help businesses with an interest free loan

      • Up to $40,000 interest-free loan for small businesses and not-for-profit organizations.
      • If repaid by Dec 31, 2022, up to 25% is forgivable (up to $10,000).
      • Organizations that paid between $50,000 and $1 million in payroll for 2019.
      • Organizations that have had their revenues temporarily reduced.
      • Financial evidence is required.
      • ACTION: Apply through your online banking. We expect this to be up online by April 15, 2020

Employment insurance (EI)
The one-week waiting period is waived for new claimants who are quarantined and a medical certificate is not required to apply. Qualification for EI will still be on a case-by-case basis, taking into account regional rates of employment and the number of hours worked in the past 52 weeks. Apply here.

Canada Emergency Response Benefit
Passing of emergency legislation Bill C-13 on March 25 created the Canada Emergency Response Benefit, combining the two previously announced Emergency Care Benefit and Emergency Support Benefit. The benefit provides a taxable benefit of $2,000 a month for up to 4 months to:

      • workers who must stop working due to COVID-19 and do not have access to paid leave or other income support.
      • workers who are sick, quarantined, or taking care of someone who is sick with COVID-19.
      • working parents who must stay home without pay to care for children that are sick or need additional care because of school and daycare closures.
      • workers who still have their employment but are not being paid because there is currently not sufficient work and their employer has asked them not to come to work.
      • wage earners and self-employed individuals, including contract workers, who would not otherwise be eligible for Employment Insurance.
      • ACTION Apply here.

Canada Child Benefit (CCB)
The Government is proposing to increase the maximum annual Canada Child Benefit (CCB) payment amounts, for the 2019-20 benefit year, by $300 per child. No action is required.

Goods and Services Tax Credit – Available in May 2020
The Government is proposing to provide a one-time special payment through the Goods and Services Tax credit (GSTC). The average boost to income for those benefiting from this measure will be close to $400 for single individuals and close to $600 for couples. No action is required.

Filing your tax returns
The Canada Revenue Agency will defer the filing deadline for the 2019 tax returns of individuals, including certain trusts, and corporations.

      • Individuals, the filing deadline has been extended until June 1, 2020. The payment date for 2019 tax year has been extended to September 1, 2020.
      • Self-employed, the filing deadline has not changed of June 15, 2020. The payment date for 2019 tax year has been extended to September 1, 2020.
      • Corporations, for corporations that have a filing date after March 18 and before June 1, 2020, the filing date has been extended to June 1, 2020.The payment date for 2019 tax year has been extended to September 1, 2020 for balanced and installments due under Part 1 of the income tax act.
      • For complete detail see CRA filing payment dates
      • No action is required

Mortgage Default Management Tools
The Canada Mortgage and Housing Corporation (CMHC) and other mortgage insurers offer tools to lenders that can assist homeowners who may be experiencing financial difficulty. The Government, through CMHC, is providing increased flexibility for homeowners facing financial difficulties to defer mortgage payments on homeowner CMHC-insured mortgage loans. CMHC will permit lenders to allow payment deferral beginning immediately. See the CMHC website for COVID-19 updates.


INSURANCE
Below is a review on coverage for COVID-19 (claims on your disability, office overhead, critical illness and life insurance), premium deferral options and how to update your insurance.

Claims:

      • Disability insurance
        If you are quarantined and diagnosed with COVID-19, you are considered disabled and your policy will cover you. Self isolation without a diagnosis of COVID-19 is not considered a disability.
      • Office overhead insurance
        Office overhead insurance is designed to cover your business expenses in the event that you are disabled or injured; closing your clinic as a safety precaution is not covered under office overhead insurance.
      • Critical illness insurance
        Critical illness insurance has defined definitions at the time a policy was purchased. COVID-19 is not a defined critical illness.
      • Life insurance
        If you pass away due to COVID-19, your policy will pay to your beneficiaries.

Can you defer your insurance premium?
YES
. Most tier one individual insurers (including RBC Insurance) are offering up to 3 months interest free premium deferral if you are unable to make premium payments on your insurance due to COVID-19.

Do you need more insurance?
Physicians have been reflecting on their insurance needs and some have asked how they can increase their insurance. Due to COVID-19, you can apply with reduced medical requirements as listed below:

Life insurance - apply for new insurance with no medical (no blood, urine or vitals)

      • Up to age 50 can apply for $1,000,000
      • Age 51-60 can apply for up to $300,000
      • Age 61-70 can apply for up to $99,000
      • Rapid underwriting

Critical illness insurance no medical (blood, urine, vitals).

      • Up to age 40 can get $250,000 – no fluids required
      • Age 41-50 can get $100,000.
      • Age 51-55 can get $50,000
      • Discount – up to 10% discount for physicians through our office

Disability insurance no medical (blood, urine, vitals).

      • Up to age 50 can apply for up to $6,000/month.
      • Age 51+ can apply for up to $2,500/month
      • Discount – up to 25% discount for physicians through our office

Patients and the Virtual World Dealing with COVID-19

March 30, 2020 Noon ET

Join us for a 60 minute webinar (30 minutes of content & 30 minutes for Q & A) in the safety of your office. The lengthy offering for Q &A will be helpful for generating discussion, from across the country, to understand what the different barriers are by province.
By the end of this session, participants will be able to:

  • Understand the basic options for providing virtual care to PM&R patients during the Covid 19 pandemic and thereafter.
  • Apply practical concepts in virtual care to develop a longer term strategy.
  • Develop models for consenting and onboarding patients to virtual care using CMPA-approved templates.
  • Navigate barriers to providing virtual care such as conducting physical exams and connecting patients with rehabilitation during physical distancing.
  • Articulate some of the advantages of providing virtual care to PM&R patients, even after the pandemic is over.

Discussions will be around:

  • Introduction to virtual care
  • Background on telephone and available nationwide platforms (logistics, how to use)
  • Consenting and onboarding patients
  • Navigating barriers such as technological glitches, modified/absent physical exam, etc
  • Online rehabilitation options for patients in light of Covid 19
  • Billing - this will vary provincially and a good topic for discussion during Q & A.

Accreditation: This event is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and approved by the Canadian Association of Physical Medicine & Rehabilitation. You may claim a maximum of 1.0 hour (credits are automatically calculated).

Speakers:
Amanda Mayo, MD, MHSc, FRCPC
Assistant Professor University of Toronto Department of Medicine
Division of Physical Medicine & Rehabilitation
Physiatrist - Amputee & Cardiovascular Rehab Sunnybrook Health Sciences Centre

McKyla McIntyre
Resident Physician, Physical Medicine and Rehabilitation at University of Toronto

Alexandra Rendely
Resident Physician, Physical Medicine and Rehabilitation, University of Toronto


Dr. Amanda MayoDr. Amanda Mayo subspecializes in amputee rehabilitation. She is the inpatient amputee, cardiac and organ transplant physiatrist at St. John’s Rehab and has outpatient amputee clinics at both the St. John’s Rehab and Bayview campuses at Sunnybrook Health Sciences Centre.


McKyla McIntyre is a resident physician in Physical Medicine and Rehabilitation at the University of Toronto. Prior to residency, she obtained her Honours Bachelor of Medical Sciences degree from Western University, and her medical degree from the University of British Columbia. She recently finished her Masters’ degree (MSc) in System Leadership and Innovation from the University of Toronto. She has a special interest in neurorehabilitation, innovative education and virtual care. She also has an interest in improving access to specialist care in underserved communities, and has worked on collaborative health education projects in rural areas of Uganda and Nepal.


Alexandra Rendely is in her final year of residency in Physical Medicine and Rehabilitation at the University of Toronto. She earned her undergraduate degree at McGill University before obtaining her medical degree from McMaster University. She recently completed specialty training in Health Journalism through the Dalla Lana School of Public Health at the University of Toronto. She has a special interest in musculoskeletal rehabilitation and health journalism.